PO BOX 746 COUPEVILLE, WA 98239

TEL 360.675.5687 FAX 360.678.9244 EMAIL [email protected]

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M. Irene Puhr, DNP, ARNP, NP-C

QUALI FI CATI ONS SUMMARY

33 year history of excellent care in outpatient clinic, inpatient medical-surgical unit, ICU/CCU
and ED
Leadership roles in each position involving problem solving and independent decision making
Active in local professional organizations and Practice Councils of Nursing
Managerial experience including co-owner of Whidbey Island Internal Medicine
Extensive community involvement through volunteer activities with infants, children,
adolescents and adults

EDUCATI ON

University of Washington, Doctor of Nursing Practice, student, 2011-2014 GPA 3.95
Skagit Valley College, Statistics, 2011 GPA 4.0
Wayne State University, Bachelor of Science-Nursing, 1977-1980 GPA 3.82
Michigan State University, 1974-1977

PROFESSI ONAL EXPERI ENCE

Charge Nurse, Team l eader, Pri mar y Care Nurse: WHI DBEY GENERAL
HOSPI TAL, COUPEVI LLE, WA, 2006 TO 2013

FLOAT
Flexible, experienced and confident in various specialty areas
Float to Medical Surgical, Emergency Department and Specialty Relief positions as well as
usual Critical Care position
Able to assume different roles quickly operating successfully under pressure

MEDICAL SURGICAL UNIT
PRIMARY CARE
Assess and analyze patient conditions accurately


Engage in active problem solving to diagnose and assist patients with health issues
Collaborate with other professionals to achieve high level patient outcomes
Excel at educating patients, families, staff and students
Establish strong interpersonal bonds with patients and families during palliative care

TEAM LEADER
Delegate responsibilities to RNs, LPNs and students.
Promote strong team ethic putting patients first
Monitor patient outcomes, assisting and advising staff as needed
Teach procedures, pathophysiology and nursing care to staff and students

CHARGE NURSE
Organize patient care assignments
Monitor bed availability and assignments at Critical Access Hospital
Interact with multiple departments to coordinate patient care
Diagnose telemetry strips on medical-surgical patients
Coordinate transfers to tertiary facilities

CRITICAL CARE UNIT
PRIMARY CARE
Assess critically ill patients responding with appropriate emergency interventions
Identify needed treatment interventions and communicate them to the medical staff
Manage ongoing care of patients with complex medical problems
Teach patients and families about their illnesses and self care
Initiate end of life discussions, assist with POLST forms
Proctor R.N. students in CCU rotation
CHARGE NURSE
Organize patient care assignments
Monitor patient outcomes assisting and advising staff as needed
Teaching CCU policies and procedures to Secondary CCU Nurses and students
PO BOX 746 COUPEVILLE, WA 98239
TEL 360.675.5687 FAX 360.678.9244 EMAIL [email protected]
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Motivate and educate staff to implement bedside reporting and hourly rounding

MANAGER: WHIDBEY ISLAND INTERNAL MEDICINE, COUPEVILLE, WA, 2009-PRESENT
Manage accounts payable, payroll, taxes and retirement fund for busy three provider medical
office

R.N.: PART TIME, WHIDBEY ISLAND INTERNAL MEDICINE, COUPEVILLE, WA, 1989-2006
Established and maintained ongoing therapeutic relationships with hundreds of outpatients
Managed anticoagulation therapy of over one hundred outpatients, educated patients,
ordered labs and medication changes
Performed telephone triage, documentation and medication management
Assisted with procedures, set up treadmills and Holter monitors, performed blood draws and
EKGs

OFFICE MANAGER, R.N.: WHIDBEY ISLAND INTERNAL MEDICINE, COUPEVILLE, WA, 1985-
1988
Involved in all aspects of establishing a new medical practice including managing staff,
bookkeeping, ordering supplies, patient satisfaction, patient triage and patient care

CHARGE NURSE, TEAM LEADER, PRIMARY CARE NURSE: CCU, WHIDBEY GENERAL
HOSPITAL, COUPEVILLE, WA, 1983-1985
Achieved transformation from large, university- based health care to rural health care
Demonstrated and implemented up to date nursing care while maintaining collegial
relationships with peers
Independent decision making; provided initial diagnosis, triage and treatment to patients in
hospital treatment room, notified on call physician of assessment (Not an ED, no physician
staffing at the time)
Coordinated ambulance care via radio, arranging for medical specialists to report to the
hospital
Chairperson of the Design Committee for CCU Flow Charts

CHARGE NURSE, PRIMARY CARE NURSE: MEDICAL/SURGICAL ICU, PROVIDENCE
MEDICAL CENTER, SEATTLE, WA, 1981-1983


Achieved ACLS certification during first year of ICU experience
Thrived in setting requiring independent decision making and constant problem solving with
critically ill patients
Lead as charge nurse within first year on night shift

CHARGE NURSE, TEAM LEADER, PRIMARY CARE NURSE: MEDICAL UNIT, PROVIDENCE
MEDICAL CENTER, SEATTLE, WA, 1980-1981
Lead team of 2-3 LPNs on busy medical unit as new graduate
Coordinated care of patients with multiple co-morbidities
Taught medication administration to LPNs in preparation for transition to Primary Care
Charge nurse on day shift within first year

HONORS & CERTI FI CATI ON

Michigan State Competitive Scholarship -1974
Sigma Theta Tau International-1979
Wayne State University, B.S.N. with High Distinction-1980
American Heart Association Advanced Cardiac Life Support Certification-1982-present
American Association of Critical Care Nursing, Critical Care Registered Nurse Certification-
1984
Palliative Care Provider-2007
Pediatric Emergency Assessment, Recognition and Stabilization Certification-2009
Emergency Nurses Association Trauma Nursing Core Course Certification-2010
American Academy of Nurse Practitioners-Certified Adult-Gerontology Primary Care
Nurse Practitioner-2014



ORGANI ZATI ONS & COMMI TTEES

Sigma Theta Tau International
American Association of Nurses
PO BOX 746 COUPEVILLE, WA 98239
TEL 360.675.5687 FAX 360.678.9244 EMAIL [email protected]
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Washington State Nurses Association
American Academy of Nurse Practitioners
Chair, Nurse Practice Committee, Providence Medical Center-1982
Chair, Committee on Standardization of Care Plans, Providence Medical Center-1982
Vice Chair, Local Unit WSNA, Whidbey General Hospital-1983
Chair, Design Committee for ICU/CCU flow charts, Whidbey General Hospital-1984
Member, Local Contract Negotiation Team, WSNA, Whidbey General Hospital-2008
Chair, CCU Task Force, Bedside Report Implementation, Whidbey General Hospital-2009
Member, Practice Council Of Nursing, Whidbey General Hospital-2009
Chair, CCU Council, Shared Governance Implementation, Whidbey General Hospital-2010
Member, Hourly Rounding Committee, Whidbey General Hospital-2010

VOLUNTEER ACTI VI TI ES

1990-1995 La Leche League International-Leader: Breastfeeding counsel, support &
education for mothers and local physicians, lead monthly meetings, conducted home visits
and consultations
1996-1999 Washington State University Extension-Master Gardener: Public forums & home
visits to identify plant diseases & recommend treatment plans, adult education, public
speaker
2000-2003 Boy Scouts of America-Assistant Scout Master, Troop Committee Outdoor
Program Director & Merit Badge Counselor: Planned & lead troop meetings, activities and
trips; assisted scouts with merit badge advancement
1996-2001 Oak Harbor Youth Soccer Club-Coach: Coached both boys & girls at recreational
level
1997-2001 Coupeville Elementary School -Classroom volunteer: Tutor and teachers assistant
2000-2003 Oak Harbor Youth Soccer Club-Board Member, Uniforms Director, Fields Director:
Ordered uniforms & equipment, field management, recruitment, scheduled games, parental
interaction & support
2003-2006 Whidbey Island Soccer Club-President, Coach and Referee: Complete oversight of
competitive soccer club. Attended meetings at District & State levels, coordinated &
delegated jobs, recruited players & coaches, handled disputes among players, coaches,
parents & referees, refereed games to U18 level, referee liaison, coached at state level with
D license